Abortion Pill

The abortion pill, often referred to as medical abortion or medication abortion, is actually two different pills taken in sequence: the first one is taken at our center, and then the other one is taken the same day (at the earliest) up to 72 hours (at the latest) at home.

Here’s how it works: The first pill, mifepristone, blocks a hormone necessary for a pregnancy to grow. The second pill, misoprostol, stimulates your uterus to cramp and bleed so that the pregnancy will leave your body (similar to a miscarriage).

These pills are not available through pharmacies or at most regular doctor’s offices. carafem staff has specific training to help you through this process. These pills are different from birth control pills or emergency contraception pills (Plan B). Learn more about if the abortion pill is right for you, and what to expect in this helpful video here.

TIMELINE SUMMARY

Step 1

Take the first pill Mifepristone at carafem

Most people feel fine after taking this first pill. Some will have nausea, and fewer will experience bleeding.

After taking your first dose at carafem, you can proceed with normal activities until you take the 2nd medication.

Step 2

Same day to 72 hrs later, take 2nd pills – Misoprostol at home

We will go over how to do this in detail before you leave our center.

You will let the pills dissolve into your cheeks or insert them into your vagina.

It is important that you take enough time to think through your options and get any information you need to help you know what option is best for you. Many people benefit from talking it through with a supportive friend or family member. There are many good resources for you to access information about your options. Our staff is always available to discuss these options with you as well.

If you decide that using the abortion pill is the best option for you, you must be in the early stage of your pregnancy.

Call us any time that is convenient for you. When making an appointment, our staff will want to know when you had your last menstrual period. If you’re unsure of when your period started, it may be helpful to have access to a calendar when you call.

We will also want to know the names of any medication you are taking. Be ready to discuss any medical issues or allergies you may have.

We will always offer you the first available appointment at carafem that works with your schedule. We will make every effort to schedule as soon as possible, within a few days.

We take medical insurance. If you have it, please provide your insurance information to our staff when making an appointment. If you do not have insurance, our staff may be able to provide you with a reduced rate. The out of pocket cost is varies by location — please see our location page for specific price information. Our staff will work with you to review all possible options.

Your appointment should take about an hour and we have flexible hours including evenings and weekends so you can schedule your visit at your convenience. Carafem centers are small and private where you will receive one on one attention from your clinician throughout your visit.

First you will fill out some paperwork (like you will find in any doctor’s office!)

Then you’ll talk to your clinician about expectations, concerns, and any other questions you may have. She may also have questions for you.

Then you’ll take a pregnancy test (peeing in a cup)

You may need a blood test to determine Rh factor, something we may need to give you extra medication for depending on the result. This is a finger poke. But if you know your blood type, just let us know.

We’ll then do an ultrasound to confirm you are early enough to take the abortion pill.

Then you’ll take the first pill (mifepristone) at the carafem center. Most people feel fine after taking this first pill. Some will have nausea, less will have bleeding. After taking this pill, you can proceed with normal activities until it is time to take the 2nd medication.

Start your birth control method! You can become pregnant again within one week of an abortion, so it is best to consider your options. At carafem, you discussed your birth control options and have decided which one is best for you. Now is a good time to start!

The same day up to 72 hours later you will take the second pill (misoprostol) at home. We will go over how to do this in detail before you leave our center. You will let the pills dissolve into your cheeks or you will have the option of putting them into your vagina (both methods are equally safe and effective, it’s your choice).

Bleeding usually begins in 1-4 hours after step 2.

You will experience bleeding and cramping that can last up to 12 hours, but usually takes 6-8 hours. You should plan to rest and take it easy for about 24 hours. You will have pain medication and anti-nausea medication and information to help manage any discomfort. We will also provide you with plenty of information so that you will know what to expect each step of this process: you are in control, but if you have any questions we are always here to help.

We will follow up with you to check in with you and to make sure everything went smoothly.

Very effective! About 98% of clients have a successful abortion when using the pill. Our staff will stay in contact with you throughout your process until we are sure that your abortion is successful and you are well.

Very safe! It has been used by hundreds of thousands of people in the US since the year 2000 and millions of women worldwide for over 20 years. There are no indications that the abortion pill affects a woman’s ability to have a baby when she is ready — neither getting pregnant nor staying pregnant in the future are affected by using the abortion pill. Our staff will review any possible risks and complications with you at your visit.

Yes. We will help verify whether your policy covers our services, and we can also help you file private insurance. If you do not have medical insurance, you will be offered the opportunity to apply for discounts on the cost of service.